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Program Summary

The UNI-CARE 200 discount dental plan offers a very large selection of participating dentists and excellent savings Nationwide. This plan also offers the Bonus Benefits program at no additional charge. The Bonus Benefits program provides discounts on prescription drugs, vision services, chiropractic treatment, and hearing devices - a $40 value!

Orthodontia (orthodontics) included

Few cosmetic exclusions

No paperwork hassles

No health restrictions

No predetermination of benefits required

No age limit for dependents

No referral required to see a Specialist

A $
processing fee will be added during checkout.

THIS IS NOT INSURANCE - It is a discount plan that allows you to save money.

Dental Benefits

Additional Benefits

Activation Date

If you join today, you can start using your plan on

Family Description

Members under the family plan include all members of your immediate family currently
living in your household.

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Additional Benefits

Our Prescription Drug Plan links most of the largest pharmacy chains into a common
and consistent savings program. Through an exclusive agreement with one of nation’s
premier drug management organizations, members can obtain savings of up to 30-75%
on drug prices through a national network of approximately 53,000 pharmacies.

Take your membership card with you to a participating pharmacy. Show your membership
card to the pharmacist. The pharmacist will enter the information on your membership
card into the on-line computer system, and you will be immediately eligible for
the special negotiated price. Your actual cost will be the contract price or the
pharmacy’s customary charge that day, whichever is lower. As a member you will receive
savings on many brand name and generic prescription drugs.

Some major chain participants include:

A & P

King Soopers

Publix

Albertsons

K-Mart

Rite Aid

Brookshire Brothers

Kroger

Sav-Mor

Costco

Longs

Schnucks

Edwards

Medicap Pharmacies

Shop N Save

Dillons

Meijer

Smith’s

Drug Emporium

Osco

Super D

Fred Meyer

Pathmark

Target

Giant

Phar Mor

Winn Dixie

HEB

Plus thousands more

Note: The Prescription Drug Plan cannot be used in conjunction with any other
discount prescription program.

Mail Order

An important part of the Prescription Drug Plan is the mail services option. You
can use the mail order service anytime, but it is most convenient when ordering
medication you take on a regular basis. The mail order service can save you even
more money than the retail pharmacy program.

The mail order form will provide the address to which you will send: your mail order
form, a new prescription from your doctor and pre-payment by check, money order
or credit card.

If a credit card is used, refills can be ordered by calling Sav-Rx customer service
at the toll free phone number found in your Members Area. If a check or money order
is used, refills can be ordered with the re-order envelope included with your original
order.

Your physician may also fax in a prescription to Sav-Rx at the toll free phone number
found in your Members Area.

All prescriptions are filled in full size packages of up to a 100-day supply. Please
contact Sav-Rx the toll free phone number found in your Members Area for information
on the package size and pricing for your medication.

It is standard pharmacy practice to substitute generic equivalents for brand name
drugs whenever possible, unless your physician will not allow a generic substitute
or you specify otherwise.

Most regular prescriptions are mailed via first class mail within 24 hours of receipt
of your order by Sav-Rx. Please allow 3-6 business days mailing time after Sav-Rx
processes your prescription.

This plan is NOT insurance. This plan does not meet the minimum creditable coverage
requirements under M.G.L. c. 111M and 956 CMR 5.00. This is not a Medicare prescription
drug plan. The plan provides discounts at certain health care providers for medical
services. The plan does not make payments directly to the providers of medical services.
The plan member is obligated to pay for all health care services but will receive
a discount from those health care providers who have contracted with the discount
medical plan organization. The range of discounts will vary depending on the provider
type and services provided. The licensed discount medical plan organization is Coverdell
& Company, Inc., at 8770 W. Bryn Mawr, Suite 1000, Chicago, IL 60631, 1-800-308-0374.
To view a listing of participating providers visit www.findbestbenefits.com and
enter promo code 979000. You have the right to cancel this plan within 30 days of
the effective date for a refund of membership fees paid, less any allowable non-refundable
processing fee. Such refunds are issued within 30 days of cancellation.

This vision program offers members 10% to 60% off eyeglasses, contact lenses
(excluding disposables), and other retail eyewear items as well as
10% to 30% off eye examinations and 40% to 50% off the national
average on LASIK. Over 12,000 eye care professionals nationwide – including
many local opticians – participate in this Benefit.

1. Call the number on your member card for participating provider locations
or use the Personalized Provider Directory to obtain a list of participating providers
in your area.
2. Locate the vision network name on the front of your membership card. Give
this network name to your provider when making your appointment.*
3. At your appointment, simply present your membership card before getting treatment
to be assured that the proper discount is applied.
4. There are no limits on the number of times you may use the benefit per year.
5. If you, or the provider, have any questions, contact Customer Service at the
number listed on your membership card.

Sample Savings*

Product/Service

Avg. Price

You Pay

Savings

% Saved

Regular Eye Exam - OD

$91.67

$79.25

$12.42

14%

Single Vision Lenses

$95.67

$70.43

$25.24

26%

Progressive Lenses

$259.33

$191.53

$67.80

26%

Designer Frames

$194.33

$144.20

$50.13

26%

*These are examples only. Savings will vary by procedure, provider and geographical
area.

Replacement Contact Lenses

Replacement contact lenses can be ordered through the mail order service at discounted
prices. Call 1-800-878-3901 and give the operator the brand and type of lens for
a price quote over the phone.

Mail a valid doctor’s contact lens prescription to: America’s Eyewear,
P.O. Box 810255, Farmers Branch, TX 75381 and include your name and plan membership
number from your membership card. You may place orders as often as you wish prior
to the expiration date of the prescription.

Most orders are received within 7 to 14 days and can be paid for by Visa, MasterCard,
money order or check.

Mail Order Option through FramesDirect.com

Choose from over 100,000 frames from top name brands. Save either 40% on lenses
for eyeglasses or sunglasses when ordering online, or save 15% off your entire order
through FramesDirect.com (excludes
contact lenses and certain brands of eyewear due to manufacturer guidelines). Includes
free standard shipping for orders over $99.

Benefit Guarantees

Low Price Guarantee:

If you find a lower price anywhere else on the exact same pair of prescription eyeglasses
purchased at a participating location within 30 days, the difference will be refunded.

30 day Unconditional Guarantee

Your satisfaction in the vision program and the mail order service is fully guaranteed
within 30 days for an exchange or full refund. If for any reason you are not happy
with a purchase at the retail locations or through the mail, return the merchandise
within 30 days for an exchange or full refund.

Using the Guarantees

To utilize any of the guarantees, call Customer Service at the number shown on your
membership card.

Millions of Americans rely on chiropractic care to reduce pain and stress and to
function more productively. Members can save 20% to 40% on regular chiropractic
fees at participating chiropractors across the country.

The chiropractic network provides plan members with savings of up to 20% - 40% on
their customary fees.

*These are examples only. Savings will vary by procedure, provider and geographical
area.

To use this discount plan, select a participating chiropractor from the provider
list by calling the toll free phone number found in your Members Area.
Note: The Chiropractic Plan cannot be used in conjunction with any other chiropractic
discount program.

Members can save 15% on the latest digital hearing aids, including a wide range
of small, discrete and sophisticated models. Explore the world of better hearing
and experience significant savings on any hearing aid purchase. In addition, you
will receive discounts on options and accessories, such as remote controls and Bluetooth
capability. You will also enjoy savings and no-charge follow up care with any hearing
aid purchase. Free hearing aid batteries (16 cells) with any hearing aid purchase
and an unconditional 45-day refund policy on hearing aids and a no charge replacement
of any hearing aid if it has been repaired three times or more in the first year
from the date of delivery.

of reviews from Plan Members

This plan is NOT insurance. This plan does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. This is not a Medicare prescription drug plan. The plan provides discounts at certain health care providers for medical services. The plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount medical plan organization. The range of discounts will vary depending on the provider type and services provided. The licensed discount medical plan organization is Coverdell & Company, Inc., at 8770 W. Bryn Mawr, Suite 1000, Chicago, IL 60631, 1-800-308-0374. To view a listing of participating providers visit www.findbestbenefits.com and enter promo code 979000. You have the right to cancel this plan within 30 days of the effective date for a refund of membership fees paid, less any allowable non-refundable processing fee. Such refunds are issued within 30 days of cancellation.

:DP Programs

:DP Programs

Savings & Updates

Let's Get Connected

Savings plans are NOT insurance and the savings will vary by provider, plan and
zip code. These plans are not considered to be qualified health plans under the
Affordable Care Act. Please consult with the respective plan detail page for additional
plan terms. The discounts are available through participating healthcare providers
only. To check that your provider participates, visit our website or call us. Since
there is no paperwork or reimbursement, you must pay for the service at the time
it’s provided. You will receive the discount off the provider’s usual and customary
fees when you pay. We encourage you to check with your participating provider prior
to beginning treatment.